Injection of pantoprazole sodium

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PANTOPRAZOLE SODIUM 40 MG IV SOLR

Phcs pricing summary

Low

$17

Average

$31

Median

$23

High

$73

Phcs rate distribution

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30 hospital rates

#		Plans
1	AMH Cath Labs LLC Arlington, TX percent of total billed charges · inpatientfrom % of charges	1	$17	$17	—	—	—	$17 – $17
2	AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges	1	$16	$16	—	—	—	$16 – $16
3	CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX fee schedule · inpatient	1	$43	$43	$0	1%	—	$43 – $43
4	CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX fee schedule · outpatient	1	$43	$43	$0	1%	—	$43 – $43
5	Humboldt County Memorial Hospital Humboldt, IA facility · percent of total billed charges · inpatientfrom % of charges	1	$73	$73	$3	4%	—	$69 – $75
6	Humboldt County Memorial Hospital Humboldt, IA facility · percent of total billed charges · outpatientfrom % of charges	1	$73	$73	$3	4%	—	$69 – $75
7	ST LUKE'S LAKESIDE HOSPITAL, LLC The Woodlands, TX fee schedule · inpatient	2	$43	$43	$0	1%	—	$43 – $43
8	ST LUKE'S LAKESIDE HOSPITAL, LLC The Woodlands, TX fee schedule · outpatient	2	$43	$43	$0	1%	—	$43 – $43
9	ST LUKES COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND Sugar Land, TX fee schedule · inpatient	2	$43	$43	$0	1%	—	$43 – $43
10	ST LUKES COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND Sugar Land, TX fee schedule · outpatient	2	$43	$43	$0	1%	—	$43 – $43
11	ST. LUKE'S COMMUNITY HEALTH SERVICES The Woodlands, TX fee schedule · inpatient	2	$43	$43	$0	1%	—	$43 – $43
12	ST. LUKE'S COMMUNITY HEALTH SERVICES The Woodlands, TX fee schedule · outpatient	2	$43	$43	$0	1%	—	$43 – $43
13	ST. LUKE'S COMMUNITY HEALTH SERVICES Spring, TX fee schedule · inpatient	2	$43	$43	$0	1%	—	$43 – $43
14	ST. LUKE'S COMMUNITY HEALTH SERVICES Spring, TX fee schedule · outpatient	2	$43	$43	$0	1%	—	$43 – $43
15	ST. LUKES HOSPITAL AT THE VINTAGE Houston, TX fee schedule · inpatient	2	$43	$43	$0	1%	—	$43 – $43
16	ST. LUKES HOSPITAL AT THE VINTAGE Houston, TX fee schedule · outpatient	2	$43	$43	$0	1%	—	$43 – $43
17	Texas Health Arlington Memorial Hospital Arlington, TX percent of total billed charges · inpatientfrom % of charges	1	$17	$17	—	—	—	$17 – $17
18	Texas Health Arlington Memorial Hospital Arlington, TX percent of total billed charges · outpatientfrom % of charges	1	$16	$16	—	—	—	$16 – $16
19	Texas Health Harris Methodist Hospital HurstEulessBedford Bedford, TX percent of total billed charges · inpatientfrom % of charges	1	$17	$17	—	—	—	$17 – $17
20	Texas Health Harris Methodist Hospital HurstEulessBedford Bedford, TX percent of total billed charges · outpatientfrom % of charges	1	$16	$16	—	—	—	$16 – $16
21	Texas Health Harris Methodist Hospital HurstEulessBedford Bedford, TX percent of total billed charges · inpatientfrom % of charges	1	$17	$17	—	—	—	$17 – $17
22	Texas Health Harris Methodist Hospital HurstEulessBedford Bedford, TX percent of total billed charges · outpatientfrom % of charges	1	$16	$16	—	—	—	$16 – $16
23	Texas Health Presbyterian Hospital Dallas Dallas, TX percent of total billed charges · inpatientfrom % of charges	1	$17	$17	—	—	—	$17 – $17
24	Texas Health Presbyterian Hospital Dallas Dallas, TX percent of total billed charges · outpatientfrom % of charges	1	$16	$16	—	—	—	$16 – $16
25	Texas Health Presbyterian Hospital Plano Plano, TX percent of total billed charges · inpatientfrom % of charges	1	$17	$17	—	—	—	$17 – $17

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← Payers reporting HCPCS C9113 · Snapshot 20261111T120946Z-9134e7f7

HCPCS C9113